Lateral Pivot Shift Test of the Elbow

orthopedic telegram channel orthopedic facebook page
 Lateral Pivot Shift Test of the Elbow

What is Lateral Pivot Shift Test of the Elbow?

Lateral Pivot Shift test of the elbow or as called (Posterolateral Apprehension Test) is used for Lateral Ulnar Collateral Ligament Injury (PLRI) which causes posterolateral instability of the elbow.

This test was first described by described by O’Driscoll in 19911.

How it’s Performed?

What does a positive Lateral Pivot Shift Test of the Elbow mean?

Lateral Pivot Shift test of the elbow is considered positive when:

Sensitivity & Specificity


Lateral Ulnar Collateral Ligament
Lateral Ulnar Collateral Ligament


  1. O’Driscoll SW, Bell DF, Morrey BF: Posterolateral rotatory instability of the elbow. J Bone Joint Surg Am. 1991 Mar; 73(3):440-6. PMID: 2002081
  2. William Regan, Peter C Lapner: Prospective evaluation of two diagnostic apprehension signs for posterolateral instability of the elbow. J Shoulder Elbow Surg . May-Jun 2006;15(3):344-6. doi: 10.1016/j.jse.2005.03.009. PMID: 16679236
  3. Lauren E. Karbach, MD and John Elfar, MD: Elbow Instability: Anatomy, Biomechanics, Diagnostic Maneuvers, and Testing. J Hand Surg Am. 2017 Feb; 42(2): 118–126. PMID: 28160902
  4. Clinical Tests for the Musculoskeletal System 3rd Edition.
  5. Dutton’s Orthopaedic Examination, Evaluation, And Intervention 3rd Edition.

Share with Friends:

Read Also:

Related Tests

Mill’s Test

Mill’s Test is used for diagnosis of Lateral Epicondylitis in the elbow, also known as “Tennis Elbow”.

Golfer’s Elbow Test

Golfer’s Elbow Test (or Medial Elbow test) is used for Medial Epicondylitis of the elbow joint or Golfer's…

Maudsley Test

Maudsley Test (or tennis elbow test) is used for lateral epicondylitis of the elbow joint, also known as ”Tennis…

See Also:

Latest from Orthofixar

Kohler’s Disease

Kohler's Disease (or Osteochondrosis of the tarsal navicular) is an avascular necrosis of the navicular bone of the…

Forearm Muscles Anatomy

The forearm muscles, wrist, and hand can be subdivided into 19 intrinsic muscles and 24 extrinsic muscles.

Radial Nerve Entrapment

A number of radial nerve entrapments are recognized and are named according to the location at which they…

Skeletal Traction

Skeletal Traction is a temporary treatment method used in emergency department in some type of lower extremity fractures.

Special Tests App

Special Test Application
Special Test Application